Hot off the press: the RAMPED trial-methoxyflurane for analgesia in the emergency department.
Hot off the press: the RAMPED trial-methoxyflurane for analgesia in the emergency department.
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DOI：
10.1111/acem.14257
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发表时间：
2021-10
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影响因子：
--
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中科院分区：
文献类型：
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疼痛是患者到急诊科（艾德）就诊的主要原因之一。1-6镇痛不足是一个重要的问题，有效的疼痛管理是患者护理质量的重要指标。7-12多个因素被认为有助于寡镇痛，包括过度拥挤，语言障碍，年龄，性别，种族和保险状况。13-16延迟提供足够的镇痛会导致患者结局较差、艾德住院时间延长和患者满意度降低。澳大利亚ED的先前研究表明，镇痛给药的中位时间可以在40到70分钟之间，而美国的一项研究报告平均为116分钟。19-21为了尽量减少延迟，已经实施了各种策略来解决这个问题，包括使用不需要静脉注射的新型镇痛剂。22
BACKGROUNDPain is one of the primary reasons that patients present to the emergency department (ED). 1–6 Oligoanalgesia is a significant problem and effective pain management is an important indicator of the quality of patient care. 7–12 Multiple factors have been thought to contribute to oligoanalgesia including overcrowding, language barriers, age, sex, ethnicity, and insurance status. 13–16 Delays in providing adequate analgesia lead to poorer patient outcomes, prolonged ED length of stay, and reduced patient satisfaction. 17, 18 Previous research in Australian EDs has shown that the median time to analgesia administration can be between 40 and 70 minutes, while one study in the United States reported a mean of 116 minutes. 19–21 To minimize delays, various strategies have been implemented to address the problem, including the use of novel analgesic agents that do not require intravenous access. 22
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1.7
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